Cited by 39Asthma and respiratory diseasesChronic Obstructive Pulmonary Disease (COPD) ResearchOccupational exposure and asthma

A systematic review of psychological interventions for children with asthma

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Yorke, Janelle, Fleming, Sharon L., Shuldham, Caroline·2007·Pediatric Pulmonology

Abstract

AIM: Psychological factors may influence the symptoms and management of asthma in children in many ways. It is, therefore, suggested that psychological interventions may be appropriate for this population. This paper reports a systematic review assessing the efficacy of psychological interventions in improving health outcomes for children with asthma. METHODOLOGY: A review of Randomized Controlled Trials (RCT) was designed. RCTs assessing the effects of a psychological intervention in child participants were included in the review. Outcome measures included healthcare utilization, lung function, asthma symptoms, and psychological health status. The search was conducted until April 2005. RESULTS: Twelve studies, involving 588 children, were included in the review; however, study quality was poor and sample sizes were frequently small. A meta-analysis was performed on two studies, examining the effects of relaxation therapy on PEFR which favored the treatment group (SD 0.82, CI 0.41-1.24). No other meta-analysis could be performed due to the diversity of interventions and the outcomes assessed. In addition, many studies reported insufficient data. CONCLUSIONS: This review was unable to draw firm conclusions for the role of psychological interventions for children with asthma. We recommend that valid outcome measures for evaluating the effectiveness of psychological interventions for children with asthma need to address adjustment to and coping with asthma, as well as other psychological indicators. The absence of an adequate evidence base is demonstrated, highlighting the need for well-conducted RCTs in this area.

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Crossref · 10.1002/ppul.20464

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  • If modifiable factors are addressed, this should result in better asthma control, including improvement in symptoms and reduction in severe asthma attacks.

    “If these modifiable factors are addressed, this should result in better asthma control, including improvement in symptoms, and reduction in severe asthma attacks (62, 63).”

    From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [63]

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Authors
Yorke, J., Fleming, S. L., & Shuldham, C.
Affiliations
Royal Brompton & Harefield NHS Foundation Trust (GB)
Corresponding author
Shuldham, Caroline
Venue
Pediatric Pulmonology
Publisher
Wiley
Published
2006-12-21
Volume
42
Issue
2
Pages
114-124
ISSN
  • 1099-0496 (ISSN-L)
  • 8755-6863
OpenAlex
W2098859102
Cited by
39
References
42
Citations by year
2024: 1 · 2023: 1 · 2022: 1 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 4 · 2012: 4
FWCI
0.35
Type
journal article
Language
en
Open access
Locations
  • Pediatric Pulmonology (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • University of Salford Institutional Repository (University of Salford) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords
childhood asthma, psychological intervention, relaxation training, peak expiratory flow, asthma symptoms, lung function, health care utilization, mental health, coping with chronic illness
MeSH terms
Adaptation, Psychological, Adolescent, Asthma, Child, Female, Humans, Male, Psychotherapy, Relaxation Therapy, Randomized Controlled Trials as Topic, Treatment Outcome

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